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on continuous glucose monitoring (CGM) and can suspend the delivery of insulin
when the SG value falls below, or is predicted to fall below, predefined threshold
values.
Contraindications
Pump therapy is not recommended for people whose vision or hearing does not
allow for the recognition of pump signals, alerts, or alarms.
Insulin pump therapy is not recommended for persons who are unwilling to
perform at least four BG meter readings per day.
The SmartGuard feature cannot be used for people who require less than eight
units or more than 250 units of insulin a day.
Pump therapy is not recommended for people who are unwilling or unable to
maintain contact with their healthcare professional.
Pump therapy is not recommended for people with a significant cognitive or
physical impairment that affects their ability to safely operate the pump, including
blindness, hearing impairment, or lack of physical dexterity.
Pump therapy is not recommended for children who are not under the care of a
parent or caregiver who is capable of safely operating the pump for the patient.
Risks and side effects
Risks related to insulin administration and pump use
Risks related to insulin infusion and potential interruptions of insulin delivery
include:
•Hypoglycemia
Hyperglycemia
Diabetic ketoacidosis
•Seizure
•Coma
•Death
Risks related to insulin pump infusion set
Risks related to insulin pump infusion set use include:
Localized infection
6Chapter 1
22


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